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Advances in artificial intelligence (AI) have achieved expert-level performance in medical imaging applications. Notably, self-supervised vision-language foundation models can detect a broad spectrum of pathologies without relying on…

Computers and Society · Computer Science 2024-02-23 Yuzhe Yang , Yujia Liu , Xin Liu , Avanti Gulhane , Domenico Mastrodicasa , Wei Wu , Edward J Wang , Dushyant W Sahani , Shwetak Patel

Background: The rapid advancement of Machine Learning (ML) represents novel opportunities to enhance public health research, surveillance, and decision-making. However, there is a lack of comprehensive understanding of algorithmic bias,…

Machine Learning · Computer Science 2024-09-04 Shaina Raza , Arash Shaban-Nejad , Elham Dolatabadi , Hiroshi Mamiya

In routine care, individuals identified a priori as high-risk are usually tested for conditions more frequently. Protected attributes, such as sex or ethnicity may also determine testing frequency. Such heterogeneous detection rates across…

Applications · Statistics 2026-05-08 Jose Benitez-Aurioles , Ricardo Silva , Brian McMillan , Matthew Sperrin

When evaluating the performance of clinical machine learning models, one must consider the deployment population. When the population of patients with observed labels is only a subset of the deployment population (label selection), standard…

Machine Learning · Computer Science 2022-09-20 Conor K. Corbin , Michael Baiocchi , Jonathan H. Chen

It has been rightfully emphasized that the use of AI for clinical decision making could amplify health disparities. An algorithm may encode protected characteristics, and then use this information for making predictions due to undesirable…

Machine Learning · Computer Science 2022-07-22 Ben Glocker , Charles Jones , Melanie Bernhardt , Stefan Winzeck

Large language models (LLMs) can generate or synthesize clinical text for a wide range of applications, from improving clinical documentation to augmenting clinical text analytics. Yet evaluations typically focus on a narrow aspect -- such…

Computation and Language · Computer Science 2026-05-19 Jinghui Liu , Sarvesh Soni , Anthony Nguyen

While multiple studies have explored the relation between inter-rater variability and deep learning model uncertainty in medical segmentation tasks, little is known about the impact of individual rater style. This study quantifies rater…

Computer Vision and Pattern Recognition · Computer Science 2021-05-06 Olivier Vincent , Charley Gros , Julien Cohen-Adad

With the rapid progress of Large Language Models (LLMs), the general public now has easy and affordable access to applications capable of answering most health-related questions in a personalized manner. These LLMs are increasingly proving…

Artificial Intelligence · Computer Science 2025-10-20 Emma Kondrup , Anne Imouza

Deep learning has achieved impressive performance across various medical imaging tasks. However, its inherent bias against specific groups hinders its clinical applicability in equitable healthcare systems. A recently discovered phenomenon,…

Computer Vision and Pattern Recognition · Computer Science 2024-11-01 Kaouther Mouheb , Marawan Elbatel , Stefan Klein , Esther E. Bron

Classification and differentiation of small pathological objects may greatly vary among human raters due to differences in training, expertise and their consistency over time. In a radiological setting, objects commonly have high…

The technical landscape of clinical machine learning is shifting in ways that destabilize pervasive assumptions about the nature and causes of algorithmic bias. On one hand, the dominant paradigm in clinical machine learning is narrow in…

Computers and Society · Computer Science 2023-05-09 Geoff Keeling

Machine learning (ML) holds great promise for improving healthcare, but it is critical to ensure that its use will not propagate or amplify health disparities. An important step is to characterize the (un)fairness of ML models - their…

Machine Learning · Computer Science 2023-08-09 Alexander Brown , Nenad Tomasev , Jan Freyberg , Yuan Liu , Alan Karthikesalingam , Jessica Schrouff

Algorithmic bias in medical imaging can perpetuate health disparities, yet its causes remain poorly understood in segmentation tasks. While fairness has been extensively studied in classification, segmentation remains underexplored despite…

Image and Video Processing · Electrical Eng. & Systems 2025-11-04 Aditya Parikh , Sneha Das , Aasa Feragen

Despite being a unique source of information on patients' status and disease progression, clinical notes are characterized by high levels of duplication and information redundancy. In general domain text, it has been shown that…

Computation and Language · Computer Science 2023-12-18 Isotta Landi , Eugenia Alleva , Alissa A. Valentine , Lauren A. Lepow , Alexander W. Charney

In spite of the strong performance of machine learning (ML) models in radiology, they have not been widely accepted by radiologists, limiting clinical integration. A key reason is the lack of explainability, which ensures that model…

Human-Computer Interaction · Computer Science 2026-04-14 Sara Ketabi , Matthias W. Wagner , Birgit Betina Ertl-Wagner , Greg A. Jamieson , Farzad Khalvati

Healthcare disparities persist across socioeconomic boundaries, often attributed to unequal access to screening, diagnostics, and therapeutics. However, this perspective highlights that critical biases can emerge much earlier, during data…

Artificial Intelligence · Computer Science 2026-04-17 Michal Rosen-Zvi , Yoav Kan-Tor , Michael Danziger , Agata Ferretti , Javier Aula-Blasco , Julia Falcao , Ron Shamir , Mordechai Muszkat

Radiology reports are invaluable for clinical decision-making and hold great potential for automated analysis when structured into machine-readable formats. These reports often contain uncertainty, which we categorize into two distinct…

Computation and Language · Computer Science 2026-03-02 Paloma Rabaey , Jong Hak Moon , Jung-Oh Lee , Min Gwan Kim , Hangyul Yoon , Thomas Demeester , Edward Choi

Fairness constitutes a concern within machine learning (ML) applications. Currently, there is no study on how disparities in classification complexity between privileged and unprivileged groups could influence the fairness of solutions,…

Machine Learning · Computer Science 2025-04-09 Juliett Suárez Ferreira , Marija Slavkovik , Jorge Casillas

Fairness in deep learning models trained with high-dimensional inputs and subjective labels remains a complex and understudied area. Facial emotion recognition, a domain where datasets are often racially imbalanced, can lead to models that…

Computer Vision and Pattern Recognition · Computer Science 2023-08-10 Alex Fan , Xingshuo Xiao , Peter Washington

Generalization is an important attribute of machine learning models, particularly for those that are to be deployed in a medical context, where unreliable predictions can have real world consequences. While the failure of models to…

Computer Vision and Pattern Recognition · Computer Science 2022-12-14 Brennan Nichyporuk , Jillian Cardinell , Justin Szeto , Raghav Mehta , Jean-Pierre R. Falet , Douglas L. Arnold , Sotirios A. Tsaftaris , Tal Arbel